Deroche, Perika Shaugn
Deroche, Perika Shaugn is an individual health care provider with primary practice located at 40 Arch St , Johnson City NY 13790-2102. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Deroche, Perika Shaugn can be contacted via phone (607) 763-6075.Contact Information
Primary practice address
40 Arch St
Johnson City NY 13790-2102
Phone: (607) 763-6075
Fax: (607) 763-5234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1093001422 |
|---|---|
| LBN Legal business name | Deroche, Perika Shaugn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2011 |
| Last updated | Jun 23rd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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